Individual
ANTHONY VITALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
516 E. NIZHONI BLVD, BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1565
Mailing address
516 E. NIZHONI BLVD, PO BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028849L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000T4892
—
NM
05
—
440975
—
AZ
Enumeration date
06/29/2006
Last updated
04/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us